Indicators For S&LT Referral (under 5s)

The pattern of speech and language development for most children is uneven. Children will present with a wide range of normal atypical speech language communication skills, as they move along the path of development. Therefore, knowing when to refer a child to speech and language therapy can difficult and often not necessary. However, there is a very small percentage of children who present with persistent atypical signs of speech, language and communication. Here are a few helpful observations parents and teachers can make, if they are concerned about their child speech and language skills.

Understanding Spoken Language Skills

8-12 months

Not interested in human voice

Does not join in turn-taking games such as peek-a-boo

Does not understand use of common objects e.g. cup, spoon etc…

Does not follow speech in context with gestures e.g. ‘no’, ‘bye-bye’

12-18 Months

Only understands a few single words

Does not follow simple, everyday instructions e.g. ‘get your coat

2.5 Years- 3 years

Does not understand two words joined together e.g. “give the cup to teddy”

3 Years +

Does not understand short sentences e.g. “put teddyunder the table”

Does not understand concepts such as big and little

Spoken Language Skills

8-12 months

Does not vocalise apart from crying

Does not respond to carer by smiling or eye contact

Does not attend to carer’s voice

12 months -18th months

Does not babble or use sounds to represent objects e.g. ‘brrm-brrm’ for car